Tooth Wear
Tooth surface loss is a physiological process that occurs throughout life as a natural consequence of aging. However, when excessive tooth wear occurs, this phenomenon is considered pathological and should not be ignored.
Tooth wear can represent a multifactorial pathology – behavioral changes, an unbalanced diet, medical conditions, and multiple medications – making correct diagnosis essential. It is also important to inform and educate people about the causes, symptoms, and consequences so that they can recognize the problem in a timely manner.
What are the main types of dental wear?
Erosion: There is a progressive loss of tooth structure caused by acid erosion. This chemical process can be associated with extrinsic factors (consumption of acidic foods and drinks) or intrinsic factors (gastroesophageal reflux and eating disorders).
Abrasion: Tooth wear caused by an external factor, such as improper use of a toothbrush – excessive force, hard bristles – nail-biting, among others.
Attrition: Loss of tooth tissue resulting from contact with the opposing tooth surfaces – generally caused by excessive teeth clenching and/or grinding.
Abfraction: Result of eccentric forces and movements on the teeth. Various chemical, biological, and behavioral factors can contribute to this type of injury.
Some signs that may indicate dental wear:
- Change in tooth color – due to the loss of enamel and the gradual exposure of the dentin, teeth become more yellowish;
- Loss of anatomy / Cracks and fractures in teeth. Tooth sensitivity.
- Decreased vertical dimension – affecting both aesthetics and functionality.
- Increased risk of tooth decay.
What are the solutions for this type of problem?
Before outlining the type of treatment to be performed, we must first understand the etiology of the clinical situation, emphasizing that prevention is always the best treatment.
In some cases, intervention is not necessary; monitoring is sufficient. However, in advanced situations, the treatment involves restoring the lost dental structure, which may include composite resin fillings or even ceramic restorations. However, before starting any rehabilitation, it is essential to eliminate bad habits and potential causes of dental wear.
Therefore, it is crucial that you consult your dentist as soon as possible so that the causes can be identified and then controlled appropriately.
Also, learn more about our Dental Veneers page!
